CONGENITAL CERVICO-VAGINAL ATRESIA ? A CASE REPORT

Congenital cervico- vaginal atresia with a functional uterus, resulting in retrograde menstruation, leading to haematometra and in late cases haematosalpinx and pelvic endometriosis is a rare anomaly of the mullerian system. The main aim of management in a young patient with no severe haematometra, minimal pelvic endometriosis and adhesions is uterovaginal anastomosis / canalization to restore normal menstruation and fertility through assisted reproductive techniques. But in patients, whose chances of fertility would be markedly compromised by the presence of pelvic endometriosis, adhesions, haematometra, ovarian endometriotic cysts or advanced age, primary hysterectomy rather than conservative management should be considered.